Individual provider Active NPI

Madalyn Bufalino

  • Physical Therapist
  • Williamsville, NY
National Provider Identifier
1750101283
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
053111 Issued in NY
Practice address
150 Tech Dr
Williamsville, NY 14221-3900
Phone
(716) 276-8641
NPI assigned
Oct 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 053111 NY Primary

Addresses

Primary practice location

150 Tech Dr
Williamsville, NY 14221-3900

Mailing address

6383 Main Rd
Lockport, NY 14094-9208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241216001283 NY Practitioner - Physical Therapist in Private Practice 4981130820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

150 Tech Dr
Williamsville, NY 14221-3900
Phone (716) 276-8641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Rehab Group Physical Therapy and Occupational Therapy PC Physical Therapist CurrentSince Oct 14, 2024 Accepting new patients

Locations

8000 Box
Buffalo, NY 14267
Phone (716) 213-0772

2100 Union Rd
West Seneca, NY 14224
Phone (716) 656-8600

40 George Karl Blvd
Ste 140
Williamsville, NY 14221
Phone (716) 458-1990

150 Tech Dr
Williamsville, NY 14221
Phone (716) 276-8300

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1750101283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6383 MAIN RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 TECH DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213900",
            "telephone_number": "716-276-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFALINO",
        "first_name": "MADALYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "053111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.